MEDICARE: VIKA PREDDY PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	296272	CA

General Provider Information

NPI Number	:	1447813654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIKA PREDDY PT

Provider Business Mailing Address
First Line	:	1993 STONESGATE ST
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-1615
Country	:	US
Telephone Number	:	805-657-0988
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 MADRONE ST
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95060-2714
Country	:	US
Telephone Number	:	831-457-7057
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2019
Last Update Date	:	12/27/2025

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Directions to “ VIKA PREDDY PT” Practice Location

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